The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report
Dural arteriovenous fistulas of the hypoglossal canal (HCDAVFs) involving the anterior condylar confluence (ACC) and anterior condylar vein (ACV) are infrequent. Although transvenous embolization through the internal jugular vein (IJV) is the preferred treatment option for type I and II fistulas, it...
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| Format: | Article |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1043340/full |
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| author | Biao Yang Yeqing Ren Yongqiang Wu Wenju Zhang Yanqi Sun Xiaolong Guo Ming Lv Geng Guo |
| author_facet | Biao Yang Yeqing Ren Yongqiang Wu Wenju Zhang Yanqi Sun Xiaolong Guo Ming Lv Geng Guo |
| author_sort | Biao Yang |
| collection | DOAJ |
| description | Dural arteriovenous fistulas of the hypoglossal canal (HCDAVFs) involving the anterior condylar confluence (ACC) and anterior condylar vein (ACV) are infrequent. Although transvenous embolization through the internal jugular vein (IJV) is the preferred treatment option for type I and II fistulas, it can be difficult if the IJV is unavailable. Here we report a rare case of HCDAVF in which the most common transvenous embolization access via IJV was not available. The patient underwent transarterial and transvenous onyx embolization. Transarterial embolization (TAE) aimed at controlling the arterial inflow and subsequently TVE was performed via the external jugular vein (EJV), the facial vein, the ophthalmic vein, the cavernous sinus, ACC, and ultimately to the fistula pouch. Complete obliteration of the HCDAVF was achieved without complications. We suggest that transvenous embolization (TVE) via the EJV and the facial vein can be effective in cases where trans-IJV is not possible. |
| first_indexed | 2024-04-10T20:43:15Z |
| format | Article |
| id | doaj.art-fe8ee4ed20464d4bbb974e53a3d131b6 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T20:43:15Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-fe8ee4ed20464d4bbb974e53a3d131b62023-01-24T17:17:15ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-01-01910.3389/fsurg.2022.10433401043340The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case reportBiao Yang0Yeqing Ren1Yongqiang Wu2Wenju Zhang3Yanqi Sun4Xiaolong Guo5Ming Lv6Geng Guo7Department of Neurosurgery, The First Hospital, Shanxi Medical University, Taiyuan, ChinaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, The First Hospital, Shanxi Medical University, Taiyuan, ChinaDepartment of Neurosurgery, The First Hospital, Shanxi Medical University, Taiyuan, ChinaDepartment of Neurosurgery, The First Hospital, Shanxi Medical University, Taiyuan, ChinaDepartment of Neurosurgery, The First Hospital, Shanxi Medical University, Taiyuan, ChinaDepartment of Interventional Neuroradiology, Beijing Tian Tan Hospital, Capital Medical University, Beijing, ChinaDepartment of Neurosurgery, The First Hospital, Shanxi Medical University, Taiyuan, ChinaDural arteriovenous fistulas of the hypoglossal canal (HCDAVFs) involving the anterior condylar confluence (ACC) and anterior condylar vein (ACV) are infrequent. Although transvenous embolization through the internal jugular vein (IJV) is the preferred treatment option for type I and II fistulas, it can be difficult if the IJV is unavailable. Here we report a rare case of HCDAVF in which the most common transvenous embolization access via IJV was not available. The patient underwent transarterial and transvenous onyx embolization. Transarterial embolization (TAE) aimed at controlling the arterial inflow and subsequently TVE was performed via the external jugular vein (EJV), the facial vein, the ophthalmic vein, the cavernous sinus, ACC, and ultimately to the fistula pouch. Complete obliteration of the HCDAVF was achieved without complications. We suggest that transvenous embolization (TVE) via the EJV and the facial vein can be effective in cases where trans-IJV is not possible.https://www.frontiersin.org/articles/10.3389/fsurg.2022.1043340/fulldural arteriovenous fistulahypoglossal canalanterior condylar confluencetransarterial embolizationtransvenous embolizationexternal jugular vein |
| spellingShingle | Biao Yang Yeqing Ren Yongqiang Wu Wenju Zhang Yanqi Sun Xiaolong Guo Ming Lv Geng Guo The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report Frontiers in Surgery dural arteriovenous fistula hypoglossal canal anterior condylar confluence transarterial embolization transvenous embolization external jugular vein |
| title | The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report |
| title_full | The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report |
| title_fullStr | The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report |
| title_full_unstemmed | The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report |
| title_short | The combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein: A case report |
| title_sort | combined transarterial and transvenous onyx embolization of dural arteriovenous fistula of hypoglossal canal via the external jugular vein and facial vein a case report |
| topic | dural arteriovenous fistula hypoglossal canal anterior condylar confluence transarterial embolization transvenous embolization external jugular vein |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.1043340/full |
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